Healthcare Provider Details
I. General information
NPI: 1336059229
Provider Name (Legal Business Name): ADOBE SUNSET COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3579 SANTA CATALINA LOOP
LAS CRUCES NM
88005-4177
US
IV. Provider business mailing address
3579 SANTA CATALINA LOOP
LAS CRUCES NM
88005-4177
US
V. Phone/Fax
- Phone: 575-201-3080
- Fax:
- Phone: 575-201-3080
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SERINA
APODACA-PECKHAM
Title or Position: OWNER
Credential:
Phone: 575-201-3080